MS. Lori Bullock, RPT

NPI #1821178989 in Marshfield, Missouri

Provider Information

NPI Number: 1821178989
Entity Type: Individual
Name: MS. Lori Bullock, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: RPT
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 106 N CRITTENDEN ST
City: Marshfield
State: Missouri
ZIP Code: 65706-1408
Phone: (417) 859-3991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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